Metabolic Syndrome and Its Components are Associated with In-Hospital Complications after Thoracic Endovascular Aortic Repair for Acute Type B Aortic Dissection

Niu, Mengye; Zhang, Hong; Zhang, Like; Chen, Chengyang; Gao, Xian; Niu, Xupeng; Zhang, Bingzhou; Zhao, Zhenze; Zhang, Lei; Jiang, Xia

doi:10.1016/j.avsg.2023.01.012

Cited by 1 publication

(3 citation statements)

References 27 publications

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“…Twenty-six articles were chosen for further full-text evaluation according to titles and abstracts. Finally, 10 articles with 7,849 individuals were included ( Romijn et al, 2023 ; Borghese et al, 2023 ; Niu et al, 2023 ; Zha et al, 2021 ; An et al, 2021 ; Naazie et al, 2022 ; Lu et al, 2020 ; Janczak et al, 2019 ; Zakko et al, 2014 ; Khoynezhad et al, 2007 ). The study screening flow diagram is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…S2 . Among these studies, three reported the BMI of patients who experienced adverse events after TEVAR or not ( Niu et al, 2023 ; An et al, 2021 ; Zakko et al, 2014 ), five reported the ORs or HRs of obesity and the incidence of adverse events ( Romijn et al, 2023 ; Borghese et al, 2023 ; Naazie et al, 2022 ; Lu et al, 2020 ; Khoynezhad et al, 2007 ), and four reported the incidence of adverse events in patients with or without obesity ( Borghese et al, 2023 ; Zha et al, 2021 ; Janczak et al, 2019 ; Khoynezhad et al, 2007 ). According to the NOS, all enrolled studies were considered high quality ( Table S3 ).…”

Section: Resultsmentioning

confidence: 99%

“… (A) Overall post-operative complications, (B) post-operative acute kidney injury, or (C) experienced successful percutaneous thoracic endovascular aortic repair or not ( Niu et al, 2023 ; An et al, 2021 ; Zakko et al, 2014 ). …”

Section: Resultsmentioning

confidence: 99%

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The effect of obesity on the outcome of thoracic endovascular aortic repair: a systematic review and meta-analysis

Li,

Zhang,

Huang

et al. 2024

PeerJ

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Background Obesity is a well-known predictor for poor postoperative outcomes of vascular surgery. However, the association between obesity and outcomes of thoracic endovascular aortic repair (TEVAR) is still unclear. This systematic review and meta-analysis was performed to assess the roles of obesity in the outcomes of TEVAR. Methods We systematically searched the Web of Science and PubMed databases to obtain articles regarding obesity and TEVAR that were published before July 2023. The odds ratio (OR) or hazard ratio (HR) was used to assess the effect of obesity on TEVAR outcomes. Body mass index (BMI) was also compared between patients experiencing adverse events after TEVAR and those not experiencing adverse events. The Newcastle–Ottawa Scale was used to evaluate the quality of the enrolled studies. Results A total of 7,849 patients from 10 studies were included. All enrolled studies were high-quality. Overall, the risk of overall mortality (OR = 1.49, 95% CI [1.02–2.17], p = 0.04) was increased in obese patients receiving TEVAR. However, the associations between obesity and overall complications (OR = 2.41, 95% CI [0.84–6.93], p = 0.10) and specific complications were all insignificant, including stroke (OR = 1.39, 95% CI [0.56–3.45], p = 0.48), spinal ischemia (OR = 0.97, 95% CI [0.64–1.47], p = 0.89), neurological complications (OR = 0.13, 95% CI [0.01–2.37], p = 0.17), endoleaks (OR = 1.02, 95% CI [0.46–2.29], p = 0.96), wound complications (OR = 0.91, 95% CI [0.28–2.96], p = 0.88), and renal failure (OR = 2.98, 95% CI [0.92–9.69], p = 0.07). In addition, the patients who suffered from postoperative overall complications (p < 0.001) and acute kidney injury (p = 0.006) were found to have a higher BMI. In conclusion, obesity is closely associated with higher risk of mortality after TEVAR. However, TEVAR may still be suitable for obese patients. Physicians should pay more attention to the perioperative management of obese patients.

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